• Consent and Release Form

    Fiber Craft Camp at the Bloom Farm
  • I, the undersigned      , am the parent or legal guardian of the child/youth named      , who was born on   Pick a Date  and resides in       . For any situation, I can be reached by phone at      . As a parent or legal guardian, I affirm that I have been completely informed of all the fiber craft activities that the child/youth will participate in. I understand the general structure of the fiber craft activities/programs and do not need to be informed of each and every activity.

    I hereby voluntarily release, forever discharge Cloth & Twine, the corporation, its officers, directors, employees, volunteer, and agents from any and all claims, demands, or causes of action, which are connected with my child's participation in the programs or the use of the equipment and facilities. I agree to pay for any and all medical expenses incurred and give permission to the doctor or health care professional to provide medical care if necessary.

    I grant to Cloth & Twine, its representatives, volunteers, and employees the right to take photographs of me and/or my child in connection with the fiber craft camp at the Bloom Farm. I authorize Cloth & Twine its assigns and transferees to copyright, use, and publish without mention of my child’s name the same in print and/or electronically. I agree that Cloth & Twine may use such photographs of me/my child for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understood the above.

    The information I've given in this form is complete and accurate. By signing this form      Pick a Date  , I confirm that I have fully informed myself of the contents of this Parental Consent and Release Form by reading it before I signed it. I warrant that I possess all the rights, powers, and privileges of a parent or legal guardian necessary to execute this document with binding legal effect.   

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